基于数据挖掘的林毅教授治疗肉芽肿性乳腺炎用药规律探析
谢宛君 林毅 钟少文 司徒红林 刘晓雁 朱华宇[摘要] 目的 应用中医传承辅助平台分析林毅教授治疗肉芽肿性乳腺炎(GM)用药规律。 方法 收集2014年1月~2018年1月广东省中医院林毅教授门诊诊治的GM有效病例,录入中医传承辅助平台,采用关联规则、改进互信息法、复杂系统熵聚类等无监督数据挖掘方法,总结林毅教授治疗GM的常用药物,分析方剂组方规律。 结果 共纳入68例患者,349首驗方,药物使用频次前10的药物依次是桔梗、白术、青皮、王不留行、郁金、蒲公英、皂角刺、穿山甲、漏芦、牡蛎。四气药性最多为温、平,五味药性最多为苦、甘,归经前3位分别是胃、脾、肝经,确定药物之间关联规则,挖掘出6个核心组合和3个新方。 结论 可概括林毅教授治疗GM经验为谨守病机,扶正祛邪,攻补兼施,标本兼治;五脏相关,多元调治,肝脾至重,平衡为宗;三因制宜,辨证加减,配伍得当,药贵平和。
[关键词] 肉芽肿性乳腺炎;林毅;中医传承辅助平台;数据挖掘
[中图分类号] R269? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)01(c)-0120-04
[Abstract] Objective To analyze medication rule of Professor LIN Yi in the treatment of granulomatous mastitis (GM) with the traditional Chinese medicine inheritance support system. Methods Effective cases with GM treated by Professor LIN Yi in Outpatient of Guangdong Provincial Hospital of Chinese Medicine from January 2014 to January 2018 were collected and input onto traditional Chinese medicine inheritance support system. The methods were used such as association rule, improved mutual information method, complex system entropy clustering were used to summarize the frequent used drugs by Professor LIN Yi in treatment for GM ......
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